HomeMy WebLinkAboutHomestead_LanceH. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company E-mail address Telephone number
Southwestern Indiana Land Title
matt@swinland.com (812) 425-0055
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as it appears o conveyance document
Elite Companies, Inc., an Indiana corporation
Address (number and street)
Address (number and street)
304 E SR 68
City, State and ZIP Code
City, State and ZIP Code
Haubstadt, IN 47639
AUG 27
Country
Country
United States of America
Email Address Telephone Number Email Address GIBSO on Number
dona@reinbrechthomes.com N COUN
a� S-t3 '4 prOR
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete as required
by law, and is prepared in accordance with IC 6-1.1-5.5. A persog_.wxvho knowingly and intentionally falsifies the value of transferred real property, or
omits or falsifies in
any n required to be provide rf'imits a Level 5 felony.
Signature o eller
Signature of Seller
Printe 'Name of S Date Signed (mm/dd/
Brooke Traylor, Autorized Signer yyyy)
Printed Name of Seller Date Signed (mm/dd/yyyy)
8/28/2026
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 - Name as it appears on conveyance document
Buyer 2 - Name as it appears on conveyance document
Joshua B. Lance
Alexandria Lance
Address (number and street)
Address (number and street)
11429S150W
11429S150W
City, State and ZIP Code
City, State and ZIP Code
Haubstadt, IN 47639
Haubstadt, IN 47639
Country
Country
United States of America
United States of America
Email Address
Telephone Number
Email Address
Number
(419) 371-5690
TTelephone
2) 550-0140
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primarV residence?
0 '❑ 3. Homestead
❑ 2 4. Solar Energy Heating or Cooling System
❑ 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ Q 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number and street)
❑ Q 7. Geothermal Energy Heating or Cooling Device
n� 1 ' `1^ L��� C)Q)Q, Z9 � -C)a
City, State, and ZIP Code County
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A
person who knowingly and intentionally falsifies the value of transferred real
property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's
LicenseliD/Other Number is necessary if a Homestead Deduction is being filed.)
:Signature of Buyer 1 L,Signatur
of B yer 2/Sp se
6
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Joshua B. Lance 8/26/2026_
Alexandria Lance 8/26/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
st 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
oSSN: 6) 69,7ZN t-: oZ
ON:0 , N®L: s
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